ACUTE CECAL VOLVULUS - REPORT OF 22 CASES AND REVIEW OF LITERATURE

Authors
Citation
S. Gupta et Sk. Gupta, ACUTE CECAL VOLVULUS - REPORT OF 22 CASES AND REVIEW OF LITERATURE, The Italian Journal of Gastroenterology, 25(7), 1993, pp. 380-384
Citations number
28
Language
INGLESE
art.tipo
Note
Categorie Soggetti
Gastroenterology & Hepatology
ISSN journal
0392-0623
Volume
25
Issue
7
Year of publication
1993
Pages
380 - 384
Database
ISI
SICI code
0392-0623(1993)25:7<380:ACV-RO>2.0.ZU;2-L
Abstract
The management of 22 patients with acute caecal volvulus is described along with a review of literature. The preoperative diagnosis of caeca l volvulus was made in 60 percent of the cases based on clinical findi ngs and plain abdominal roentgenograms. Eleven patients had signs of p eritonitis either due to gangrene or perforation of the caecum. On lap arotomy all patients had mobile caecum but precipitating factors were not evident in any patient. The authors recommend resection and primar y end-to-end ileocolic anastomosis in the presence of gangrene or perf oration of the caecum. Zn non-complicated cases of caecal volvulus, de torsion and caecopexy are preferable because of low mortality, morbidi ty and recurrence rates.